..4 days. Unicompartmental arthroplasty using less invasive surgical techniques, a rapid recovery protocol, and multimodal venous thromboembolism prevention is a safe and effective procedure associated with a low rate of morbidity...

Acute hip arthroplasty for the treatment of intertrochanteric fractures in the elderly

..Dislocation is higher than in primary total hip arthroplasty utilizing the same surgical approach. The results do not support routine use of arthroplasty in treatment of intertrochanteric hip fractures in the elderly...

..Intraoperative proximal femoral fracture is a risk in total hip arthroplasty (THA) with cementless stems with reported rates of 1.5-27.8%. Certain designs or designs associated with certain types of instrumentation may have higher rates...

A constrained device with increased range of motion prevents early dislocation

..This device allows a higher range of motion before prosthetic impingement and maintains a higher levering out strength when impingement occurs. These changes should provide long lasting hip stability in these difficult cases...

..In light of this investigation and the work of others, preoperative radiographic changes in the patellofemoral joint can be safely ignored when considering patients for medial UKA without compromising survivorship...

..Harris hip pain and total scores improved. This titanium, porous plasma spray-coated femoral component continues to demonstrate high long-term survival with a low rate of component revision for any reason or aseptic failure of ingrowth...

Gender is a significant factor for failure of metal-on-metal total hip arthroplasty

..0246). Metal-on-improved polyethylene devices had superior results compared with MoM in this study. Furthermore, 5 MoIP revisions were liner exchanges, a conservative option not available with MoM...

Cementless double-tapered total hip arthroplasty in patients 75 years of age and older

..Overall implant survival was 98% at an average of 5 years. No perioperative deaths or significant orthopedic complications were identified. Advanced age is not a contraindication for tapered cementless THA...

..2%: odds ratio 19.6 (P =.0082). A significant increase was observed in rates of VTD with ileus. We recommend using parenteral chemical and mechanical prophylaxis in patients with ileus following total hip and total knee arthroplasties...

Isolated liner exchange using the anterolateral approach is associated with a low risk of dislocation

..In this large series of 318 unicompartmental knee arthroplasties performed in 270 patients, these standard preoperative contraindications had no influence on the successful outcome of the procedure using the Oxford phase 3 device...

..Although not without complications, manipulation under epidural anesthesia represents a viable option for treatment of persistent stiffness after TKA; 80% of these difficult cases achieved successful results...

..The minimally invasive nature and rapid recovery associated with unicompartmental knee arthroplasty may support approaching the procedure more as an arthroscopy than an arthroplasty in terms of venous thromboembolic disease prevention...

..This method of preoperative templating and referencing the well leg intraoperatively is an inexpensive, reliable, and accurate method for determining leg length in primary THA and has few significant radiographic or clinical outliers...

..Refined perioperative protocols in combination with a less invasive, mini-arthrotomy approach using special instrumentation resulted in earlier discharge to home, higher range of motion and improved clinical and pain scores...

..1 years. Only 4 patients required stem revision for loosening (7.4%). THA after FVFG provides improved functional results comparable to the published results of primary THA in osteonecrosis in young patients...

..6 to 4.8 g of tobramycin or gentamicin and 3.0 to 4.0 g of vancomycin per 40-g unit and massaged to fill any voids. After curing, the temporary spacers are removed from the molds, trimmed smooth, and cemented loosely into the joint space...

The relationship of lateral release and tourniquet deflation in total knee arthroplasty

..A 69% reduction in lateral release supports the hypothesis that tourniquet pressure has an effect on patellar tracking. Lateral release appears to be effective in restoring normal patellar tilt, and obesity increases its need...

A short tapered stem reduces intraoperative complications in primary total hip arthroplasty

..This case report profiles a patient who required removal of Brooker stage III heterotopic ossification after a 2-incision minimally invasive total hip THA. This is the first report of this complication after 2-incision THA...

Free vascularized fibular grafting for the treatment of postcollapse osteonecrosis of the femoral head